摘要
Abstract
Objective To investigate the efficacy and safety of neuroendoscopy combined with microscopic craniotomy for hematoma clearance in the treatment of primary pontine hemorrhage(PPH).Methods A retrospective analysis was performed for 66 patients with PPH who were hospitalized and treated in Anyang Regional Hospital of Puyang from January 2016 to August 2023.The 26 patients in the study group were treated with neuroendoscopy combined with microscopic craniotomy for hematoma clearance,and the 40 patients in the control group were treated with microscopic craniotomy for hematoma clearance alone.The two groups were assessed in terms of postoperative hematoma clearance rate,the incidence rate of postoperative complications,postoperative mortality,Glasgow coma scale(GCS)score at 1 week after surgery,and Glasgow outcome scale(GOS)score at 6 months after surgery.Results Compared with the control group,the study group had significantly higher postoperative hematoma clearance rate[(93.5±5.4)%vs(85.8±8.7)%,P<0.05],GCS score at 1 week after surgery(9.3±1.2 vs 8.2±1.5,P<0.05),and GOS score at 6 months after surgery(3.3±1.3 vs 2.6±1.3,P<0.05).However,there was no statistically significant difference in the postoperative rebleeding and mortality rates between the two groups(P>0.05).Conclusions For patients with PPH undergoing microscopic craniotomy for hematoma clearance,neuroendoscopy can help to reduce blind spots in the visual field,increase hematoma clearance rate,and reduce the risk of postoperative rebleeding and intraoperative neurological damage,thereby improving the prognosis of patients.关键词
原发性桥脑出血/神经内镜/显微开颅血肿清除术/预后Key words
primary pontine hemorrhage/neuroendoscopy/microscopic craniotomy for hematoma clearance/prognosis分类
临床医学
